Susan K. Nguyen

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 36552 Issued in CA

Practice address

1801 E Chapman Ave
Orange, CA 92867-7775

Phone

(714) 221-2250

Fax

(714) 221-2255

NPI assigned

May 13, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Active Rehabilitation and Conditioning Physical Therapy

  • Physical Therapy Clinic/Center
  • Irvine, CA
  • NPI 1942507256

  Physical Therapist

  NPD (past)
• Encore Wellness Physical Therapy, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Whittier, CA
  • NPI 1164540902

  Physical Therapist

  NPD (past)
• Mobility Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Lake Forest, CA
  • NPI 1659482990

  Physical Therapist

  NPD (past)
• Nifty After Fifty

  • Physical Therapy Clinic/Center
  • Garden Grove, CA
  • NPI 1215974308

  Physical Therapist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273708800000",
    "number": "1700104809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12572 VALLEY VIEW ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928452006",
            "telephone_number": "714-823-4400",
            "fax_number": "714-823-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 E CHAPMAN AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928677775",
            "telephone_number": "714-221-2250",
            "fax_number": "714-221-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "SUSAN",
        "middle_name": "K.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-13",
        "last_updated": "2010-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 36552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT 36552",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Son Tung Nguyen
• Stephanie Tram Nguyen
• Steven Nguyen
• Sukha Thien-Lac Nguyen
• Summer Ngoc Nguyen
• Sydney Maithy Nguyen, PHARMD
• Sydney Vy Nguyen
• Tammy Tam Nguyen
• Tanya Huynh Ngoc Tran Nguyen
• Tate Austin Nguyen

• All providers in Orange, CA
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.